5k Run/Walk Agreement Registration

EVENT AND PROPERTY USE WAIVER AND LIABILITY RELEASE

SNAP FITNESS MT. ORAB HEALTH FAIR EVENT/MT. ORAB PARK AND 5K WALK RUN RACE

DATE(S) TO BE USED: JUNE 15^TH 2024

Proceeds benefiting the Mt. Orab Playground in the Park Fund

In consideration of being allowed to use/participate in the above event ( MT.Orab Snap Fitness Health Fair and 5K Walk Run Race), date indicated above. The undersigned hereby releases and waives all claims for liability against Mt. Orab Snap Fitness, Mt. Orab Ohio, The Mt. Orab Playground In The Park Fund, their owner, employee, any personal trainers, in and/or outside the facility, any other health related officials related to Snap Fitness Mt. Orab, volunteers and any and all individuals with the undersigned group organization’s use of the above property. The undersigned agrees to indemnify and hold harmless, Mt. Orab Snap Fitness, Mt. Orab Ohio, and The Mt. Orab Playground in the Park Fund, all named within this event stated in the above, and any organization assisting from any and all liability arising out of, or in any manner predicated upon, loss or damage to property, injury or death to members of the undersigned group or organization, which injury may occur in connection with the use of the above described event and/ or property, whether or not such injury, loss, or damage arises, in whole or in part, from the negligence of the Event, all of the said individuals participating in the aid of this event.

The undersigned further states that she/he is lawful age and legally competent and empowered to sign this waiver and release on his/her own behalf and/or on behalf of his/her principal, and that such waiver and release is freely given and based upon no statement or representation from Mt. Orab Snap Fitness, and all that participate that aid or assist in this event.

Participating in the 5k Walk Run Race

Any participant under the age of 18 must have parental consent (waiver provided with entry form) and the undersigned further states that she/he is granted permission to participate in the 5K Walk Run Race, releasing the above Event (Mt. Orab Snap Fitness, Mt. Orab Ohio, Mt. Orab Playground in the Park Fund) from any injury or death related to this Event.

I affirm that I have read this Event and Property Use Waiver and Liability Release, and that I understand the contents of the Agreement to participate in the Event provide by MT. Orab Snap Fitness, Mt. Orab Ohio.

Course: The race will begin and end at the Mt. Orab Park, Mt. Orab Ohio

REGISTER WITH LAST MINUTE REGISTRATION AND PACKET PICKUP, FRIDAY JUNE 13^TH @ MT. ORAB SPORTS COMPLEX 600 DAY RD, MT. ORAB OHIO, FROM 4-8

Check-In: 7:00 AM by Basketball courts
Race time: 8:00 AM

Early Registration 35.00$

Same day registration 40.00$

All entries will be divided into race category by age and are as follows; 8-15, 16-25- 30-40, 50+

Walkers will start immediately after the runners. (walkers will be all ages)

*Please return all Advance registration forms below by email, mtorab@snapfitness.com or drop off registration form by or no later than May 31^st, 2025

127 North Point Plaza, Mt. Orab Ohio 45154

Step 1 of 3

33%

Runner Details

Runner Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Event Details

Age on Race Day(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Check One(Required)

5K Run

5K Walk

T-Shirt Size(Required)

Average running pace?(Required)

How did you hear about this event?

Event Details

Registration Fee

Price:

Processing Fee

Price: $0.00

Total

PARTICIPATION WAIVER IN 5K WALK RUN RACE(Required)

I affirm that I have read this Event Waiver and Liability Release, and that I understand the contents of the Agreement to participate in the Event provide by MT. Orab Snap Fitness, Mt.

PARTICIPATION WAIVER IN 5K WALK RUN RACE

Any and all participants must agree and sign waiver provided with the Event Registration

Any participant under the age of 18 must have parental consent and the undersigned further states the she/he is granted permission to participate in the 5K Walk Run Race, releasing the above Event (Mt. Orab Snap Fitness, Mt. Orab Ohio) from any injury or death related to this Event.

I affirm that I have read this Event and Property Use Waiver and Liability Release, and that I understand the contents of the Agreement to participate in the Event provide by Mt. Orab Snap Fitness, Mt. Orab Ohio date of submitted agreement.

www.snapfitness.com/mtorab www.browncountyhealthfair.org www.mtorabplayground.com

Debit/Credit Card(Required)

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5k Run/Walk Agreement Registration